Today's Family Medicine News Highlights

May 19, 2017

Globe and Mail
Federal health minister asks CIHI to independently review opioid guideline after conflict-of-interest controversy
Bill C-37 received royal assent, making it easier to open supervised injection sites

Global News
OMA and provincial government reach tentative agreement to secure binding arbitration

CBC News
Rural Manitoba calls for another way to recruit physicians with a vacancy rate of 37 per cent

Toronto Star
Sherbourne Health Centre launches take-home program for naloxone kits
New law streamlines process to reduce barriers for harm-reduction facilities

Healthy Debate
Time to discuss connection between MAID and organ donation

CFJC Today Kamloops
Opinion: Where physicians practice is the problem, not how many are practising

The Guardian
Significant overhaul needed for PEI mental health care systems

Medical Post
Nova Scotia college amends standard on treating Canadians who sought care outside of Canada
Written by Donalee Moulton on May 19, 2017 for the Medical Post

HALIFAX – The College of Physicians and Surgeons of Nova Scotia has issued two brief but explicit amended standards: Care of Patients Who Have Received Treatment Outside Canada and Review of Monitored Drug History Before Prescribing.
Despite the potentially touchy and troublesome nature of the first issue, the college makes it clear physicians are obligated to treat patients with whom they have an existing relationship even if that patient has received treatment outside Canada. The college notes that, where possible, doctors may want to discuss the potential risks and benefits with the patient before treatment.
According to information compiled by the Canadian Medical Protection Association (CMPA), the number of patients looking for treatment beyond their national borders, a phenomenon known has medical tourism, has surged in recent years. More Canadians are now travelling abroad for medical treatment than foreign visitors coming to Canada, the association noted in an article it prepared on the issue. An estimated 52,513 Canadians received treatment abroad in 2014, an increase of 26% from 2013.
A desire to save money, the lure of a treatment not available in their own country, and sidestepping long wait times are among the most common reasons patients opt for treatment elsewhere, the CMPA noted in its article “Emerging trends and medical-legal risks in medical tourism,” a resource used by the Nova Scotia college in its amended strategy.
The CMPA also pointed out that some countries actively promote and compete for medical tourism dollars. In fact, Middle Eastern and Latin American countries are developing hospital facilities specifically to attract international patients.
The college’s second amended standard spells out the obligation of physicians to review a patient’s drug profile as required by the Nova Scotia Prescription Monitoring Program (PMP) before prescribing narcotics or other controlled substances. Physicians can access a patient’s most recent 18-month drug history at any time through the PMP’s eAccess system, a secure web application that is updated multiple times every day. For physicians without access to the Internet, at a walk-in clinic, for example, the information can be obtained from the patient’s pharmacist. All pharmacists in the province can use the web portal to obtain a patient’s prescription drug information.

La Presse
La loi concernant les sites d'injection supervisee est adoptée
Attente aux urgences : Barrette a confiance que ses réformes portent fruits

Le Journal de Montréal
Augmentation du nombre de cas de virus du Nil au Québec
Comportement à adopter en cas d’AVC

Ici Radio-Canada
L’attente pour les soins de santé a coûté très cher aux Canadiens
Ebola : des anticorps humains capables de neutraliser le virus

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